| Jenna J Mulder, | |
|
100 County Road B, Shawano, WI 54166-7072 | |
| (715) 526-2111 | |
| (715) 526-9366 |
| Full Name | Jenna J Mulder |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 100 County Road B, Shawano, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053929653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5218 (Wisconsin) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Medical Center - Neenah Inc | Neenah, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Surgical Associates Of Neenah, S.c. | 4486625258 | 29 |
| Entity Name | Surgical Associates of Neenah, S.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285792341 PECOS PAC ID: 4486625258 Enrollment ID: O20040804001098 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna J Mulder, 3 Neenah Ctr Fl 5, Neenah, WI 54956-3070 Ph: (920) 830-5900 | Jenna J Mulder, 100 County Road B, Shawano, WI 54166-7072 Ph: (715) 526-2111 |
Jaclyn M Schechinger, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 117 S Main St, Shawano, WI 54166 Phone: 715-524-3331 |
Susan Franke, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 117 E Green Bay St, Shawano, WI 54166 Phone: 715-524-2161 |
Susan Gruetzmacher, NP Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 |
Sarah Bauer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 |
Mary Margaret Mccoy, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-823-5161 |
Mckenna J Kerscher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-2111 |
Hannah Kerkhof, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-916-3029 |